Reply to Do I dare say no to ST because we can't afford it?

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Reply to "Do I dare say no to ST because we can't afford it?"

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[quote=Anonymous]I also had luck with pushing on the PIE program (we are in Arlington), although I hadn't expected to. They were not allowing us to pay privately for the same provider, and I didn't want my DC to have two speech therapists (this seemed unreasonable). So ultimately, with documentation from the dev. ped, they allowed 2x/week.

Also, call everyone that is in network for BCBS - you will probably find that all providers either have a waiting list or only see adults, etc. Then call BCBS and see what they can do. We were able to get our out of network provider paid for as in-network, since there were no available in-network providers. We now go to Georgetown for therapy - they are awesome, and take insurance.

One other thing to keep in mind as you weigh changing plans at open season - the reimbursement level from FEP BCBS Standard for speech therapy out of network is incredibly low. I think we were receiving $43 per session (which cost us $120), with a 75 visit max. [/quote]

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